Although there are different causes of male hair loss, the most common cause of male baldness is androgenetic alopecia.
What is the meaning of androgenetic alopecia?
As the name suggests, androgenetic alopecia is hair loss induced by male hormones in people with genetic predispositions.
Will I go bald?
The genetics of going bald can be inherited from both sides of the family.
Since androgenetic alopecia is not a simple form of inheritance, male baldness might not affect close relatives.
Therefore, you might go bald even if you do not have bald parents.
How do I know if I will go bald?
To be sure of the reason of your hair loss, it is recommended to make an appointment with your doctor.
Some signs can help you to identify androgenetic alopecia.
Male baldness: first signs
- Difficulty fixing hair, with scalp exposure depending on how you comb the hair.
- Scalp exposure after taking a shower or after swimming
- Decrease of your hair volume, especially the hairline
Classic signs of male baldness
- Receding hairline or scalp exposure.
- Baldness in the crown area. Baldness in the crown area usually is noticed by friends or relatives, which postpones the recognition of baldness in this area.
Advanced male baldness
- Full scalp exposure on the top of the head.
- Male baldness typically does not affect the sides and rear of the head.
Norwood-Hamilton scale: classifying male baldness
The scale of Norwood was created to assist in identification of male pattern baldness commitment degree.
It can be used to determine not only the type of involvement, but also the chances of recovery of hair.
The figures serve as a good visual reference both to doctors and to patients.
I am going bald. Do I have any hormonal disturbance?
The hormones in hair follicle are responsible for hair loss in cases of genetic male baldness.
The main hormone involved in men’s baldness is dihydrotestosterone (DHT).
Although DHT is directly related to androgenetic alopecia, DHT blood levels are usually normal in bald people.
Normal DHT blood levels are expected even in advanced or fast progression hair loss.
Therefore, hormonal disturbances are not expected in people who are going bald.
An exception is the use of steroids.
The use of steroids can contribute to the progression of baldness and cause hormonal disturbances.
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How long does it take to go bald?
The progression of hair loss in androgenetic alopecia depends on a lot of aspects.
Age of onset
Young men who start losing hair before 18 have more chances of going bald.
When hair loss starts around 30 or 40, the evolution of hair loss is usually slower and milder.
Androgenetic alopecia usually takes years to be noticed.
When men have a fast progression of hair loss, it can be a sign of severe baldness.
Baldness size area
Larger areas of hair loss are likely to progress to baldness.
What are the problems linked to male baldness?
Ultraviolet radiation exposure causes repetitive sunburn on the scalp, which can lead to skin cancer.
Scientific studies supports a link between baldness and some medical conditions such as: hypertension, heart diseases, obesity, infertility and prostate cancer.
I think I am going bald. What should I do?
Male baldness can be controlled.
The best chances of a successful treatment depend on how early the baldness is diagnosed and treated.
It is recommended to make an appointment with your doctor as soon as you noticed the first signs of hair loss.